Multilevel Barriers to Sexual Health Behavior Among Vulnerable Adolescent Girls in the USA.
Multilevel Barriers to Sexual Health Behavior Among Vulnerable Adolescent Girls in the USA.
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DOI：
10.1007/s13178-021-00594-7
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发表时间：
2022-06
影响因子：
2.6
通讯作者：
Widman, Laura
中科院分区：
文献类型：
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作者：
Kamke, Kristyn;Stewart, J L;Widman, Laura
大多数性健康干预措施都侧重于个人层面的性行为预测因素。鉴于环境因素对青春期女童的性健康有相当大的影响，目前的干预措施可能不足以促进安全的性行为。在这项研究中，我们的目标是了解青春期女孩在完成了一项名为心脏的简短的网络性健康干预后，在从事安全的性行为方面的预期障碍。本研究采用定性访谈的方法，从服务弱势青年的社区组织中招募了50名青春期女孩。所有参与者的年龄都在12到19岁之间(平均年龄为15.62岁，SD=1.83)，并且认同被边缘化的种族/民族(58%是黑人；18%是拉丁裔；24%是亚裔、混血或混血)。此外，24%的人被确认为LGBTQ+，58%的人有性行为。在社会生态模型的指导下，我们描绘了青少年讨论的安全性行为的六个独特障碍：操纵伴侣、羞辱荡妇、不明确的性价值观、当下的取向、尴尬以及获得性健康和生殖健康服务。最后，我们提出了解决这些障碍的建议，以优化青春期女童的性健康。
Most sexual health interventions focus on individual-level predictors of sexual behavior. Given the considerable influence of environmental factors on adolescent girls’ sexual health, current interventions may be insufficient to promote safer sex. In this study, we aimed to understand adolescent girls’ anticipated barriers to engaging in safer sex behavior after completing a brief, web-based sexual health intervention called HEART. This study used qualitative interviews with 50 adolescent girls who were recruited from community-based organizations that serve vulnerable youth. All participants were 12 to 19 years old (mean age=15.62, SD=1.83), and identified with a marginalized racial/ethnic group (58% Black; 18% Latinx; 24% Asian, biracial, or multiracial). Further, 24% identified as LGBTQ+, and 58% were sexually active. Guided by the social ecological model, we delineate six unique barriers to safer sex discussed by adolescents: partner manipulation, slut shaming, unclear sexual values, present time orientation, embarrassment, and access to sexual and reproductive health services. We conclude with recommendations for addressing these barriers to optimize adolescent girls’ sexual health.